Role Of Group Exercise In Neurological Rehabilitation
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The focus of the research
The study's focus is to understand the role of group evidence in association with neurological rehabilitation.
Neurological rehabilitation can be regarded as an emerging field and is impacted by the developments in neuroscience and engineering related to biometrics. It is essential to know that most of the patients who require the support of neurological rehabilitation have been through the stroke and other kinds of diseases related to the nervous system of the body, brain, and spinal cord (Umphred, 2013). The individuals were related to providing neurological rehabilitation focused on decreasing the impairment caused and improving functioning in day to day life. It can be observed that the treatment received from neurological rehabilitation is much more superior and better than getting treated with the help of medicines. Clinical trials, which are provided in association with neurological rehabilitation, support therapy of movements induced by constant for the arm. It also includes other forms of training like walking on the treadmill, which requires high-intensity interventions that cost much and need patients' motivation. Neurological rehabilitation has several promising approaches related to the future, including training with the help of robots, rehabilitation of patients at their home, which is also known as telerehabilitation, therapies for support chat increases motivation and compliance. Therefore, it can be understood that neuroscience can be developed most efficiently and effectively with the help of medical experiments that are carried out on a small scale and well-focused. This will prove to be very important for designing interventions with your optimal and can help in the form of required assistance towards a specific target group of patients.
Knowledge and Insights
Stroke, along with traumatic injuries suffered by the brain and multiple sclerosis and other kinds of neuropathies, can be regarded as the most common and essential diseases treated by neurological rehabilitation. Practices based upon evidence-based practice can be considered as implementing evidence for carrying out the best research with expertise in clinical and values of patience. Evidence becomes crucial to treat a particular patient who suffered an injury. This helps the therapist perform neurological rehabilitation most effectively and efficiently (Levin, & Demers, 2020). With the help of evidence-based practice, the whole procedure can be divided into two components: the different steps involved and problems faced during evidence-based practice. Physical therapy can be regarded as one of the most recognized processes of neurological rehabilitation. Still, it needs to upgrade the methods used in this digitized era of scientific research. It is essential to develop an evidence-based which is robust and helps the cause of each patient so that they get proper treatment and care through systematic reviews and trials. Based upon the evidence, physiotherapy practices can be regarded as open and thoughtful for the decision-making to be clinical. The amount and quality of evidence are directly related to the quality of therapy and services provided to a particular patient. This means that evidence-based practices in neurological rehabilitation can help optimize possible outcomes of the patient and increase their quality of life.
Shifts of Paradigm
It can be stated that the neurological practices which are based upon evidence have gained popularity and reliability over the past decade. It has been observed that researchers who are influential as well clinicians stated that individual physiotherapists have obligations both morally and professionally to move away from any assessment and treatment that are based upon opinions or testimonies (Lui, 2018).
Group evidence and identification of difference
The evidence-based practice, along with the research carried out scientifically, has brought many parallel shifts in the field which relates to physiotherapy and its various techniques, which includes the follows :
Process of intervention in cerebral palsy – A therapy related to neurological rehabilitation has been incorporated for application upon children based upon both neurodevelopmental treatment approach. The main focus of this particular treatment is considering the tone and postures which are abnormal and is happening during the formation of the treatment along with interventions. Exercises for strengthening have also been discouraged by proponents because it was believed that excessive effort on muscles and tissues would increase the core contraction along with reactions and spasticity. It has been observed that the main problem which was faced by patients while moving any part of his or her body was antagonist restraint and not against any weakness of muscles. The shift for this can be regarded as an increase in the improvement of muscle movement for patients with CP. This included isometric exercises, isotonic exercises, and a combination of weight machines and isokinetic exercises (Burkow-Heikkinen, 2009).
Backache causes resting in bed – sleeping in bed can be regarded as a traditional treatment for any pain in the back. This purpose and method of treatment consist of providing analgesics to the particular patient and advising them to rest for an unnecessary amount of time which has increased the doubts of different orthopaedics and impress dissatisfaction with the kind of management that has been considered. Research done by two physicians has been stated to store that a more extended period of bed resting has no advantage over a shorter period of bed resting. In any pain happening in the back, the whole days for resting are around two to four days and the prohibition of any activities. It has been found out that there is no possible advantage which address can provide over any other treatments with the help of medication. On the other hand, it produces several adverse effects in stiffness of joints, wasting of muscles, loss in the mineral density of bone, pressure source, and Venous thromboembolism.
Hurdles in evidence-based practices
There have been several areas where evidence-based practices in neurological rehabilitation have provided efficiency and effectiveness for the treatment and services received by the patients. At the same time, there have been several barriers or hurdles which have been analyzed and understood that have been brought up by physical therapists regarding the use of evidence-based practices in neurological rehabilitation. The borders have been stated as follows :
- Lacking time,
- Understanding various statistics can be a complex process sometimes,
- Individual employees do not tend to support,
- Resources are available in scarcity and not enough,
- There is no interest of an individual,
- Results cannot be generalized.
It can also be understood that a majority of individual physiotherapists have positive opinions and reviews about evidence-based procedures to be followed in neurological rehabilitation. All the barriers discussed and focused upon here can be easily overcome if individual therapists can improve their skills and behaviour, and knowledge, which they possess in association with evidence-based practices. Apart from this, many authors have also expressed the influence of evidence-based methods as facilitators are not the same barriers. The evidence-based practices can facilitate the following :
- Learning through a self-directed approach,
- Degree of post-graduation,
- A necessary scope and belief that thorough research can be used for undertaking and making clinical decisions in such a way that it does not interfere with the efficiency and productivity of the patient (Barnes & Good, 2013).
- It should also be understood that evidence-based practices help the concerned individual who is practising neurological rehabilitation can use newer and efficient techniques rather than focusing and dependent only on the traditional methods. Access to online content and researchers must be facilitated, proving to be efficient and effective for the course of evidence-based practices in neurological rehabilitation.
It can be understood that the process of evidence-based practice is helpful in critically appraising the critical evidence, which can further help improve the status of individual patients. Each individual must be confident enough to practise research-based upon proof. Millions of different themes have emerged from analyzing evidence-based practices in education related to clinical physiotherapy. These are stated as follows :
- The various attempts aim to integrate the practices based on evidence (Winkler et al., 2019).
- Novices in clinical practices,
- In a different situation, it can be considered that experiences which have been gathered from practical what things must be prioritized than evidence-based practices but only in some case,
- There has also been a lack of role models in the concept of evidence-based practices.
Therefore, the role of evidence-based practices in neurological rehabilitation has been adequately analyzed and discussed in this particular paper.
Barnes, M., & Good, D. (2013). Neurological rehabilitation. Elsevier.
Burkow-Heikkinen, L. (2009). The role of personal trainers for stroke rehabilitation. Neurological Research, 31(8), 841-847. https://doi.org/10.1179/016164109x12445505689724
Levin, M., & Demers, M. (2020). Motor learning in neurological rehabilitation. Disability And Rehabilitation, 1-9. https://doi.org/10.1080/09638288.2020.1752317
Lui, S. (2018). Rehabilitation of Severe Post-Malaria Neurological Syndrome. American Journal Of Physical Medicine & Rehabilitation, 1. https://doi.org/10.1097/00002060-900000000-98405
Umphred, D. (2013). Neurological rehabilitation. Mosby/Elsevier.
Winkler, A., Zelenka, I., Schweng, E., Skabrada, J., Schandl, I., & Janecek, A. (2019). The first patient treated with triple combination therapy after recurrent ischemic stroke. Journal Of Medicine And Life, 12(3), 230-232. https://doi.org/10.25122/jml-2019-1006